NPI | 1285107532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150884) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 150884) |
172V00000X Community Health Worker | |
101Y00000X Counselor | |
Enumeration Date | 2019-01-09 |
Last Update Date | 2024-11-21 |